Prevalence and utility of point‐of‐care ultrasound in the emergency department

A prospective observational study

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Objective
An observational study on the current diagnostic and procedural utility, as well as impact of point‐of‐care ultrasound (POCUS) in the emergency department (ED).

Background
Point‐of‐care ultrasound (POCUS) has been recognised as a useful non‐invasive bedside tool in providing valuable information, as well as its utility in procedural guidance for clinicians. However, its current prevalence and utility in ED remain unknown.

Methods
In October 2016, a 31‐day prospective observational study was performed in three Monash Health Emergency Departments in Melbourne, Australia. Data regarding patients’ presenting complaints, frequency, operators’ qualifications and POCUS module were collected and analysed. Factors associated with diagnostic impacts were identified.

Results
A total of 390 (2.1%) POCUS examinations were performed among 18,355 presentations in the three Monash Health EDs during the study period. POCUS was performed as a diagnostic tool in 344 (88.2%) and procedural guidance in 46 (11.8%) cases. eFAST/AAA and bedside echocardiography were the two most frequently utilised diagnostic modules. Overall, the majority of diagnostic POCUS cases were indicated for abdominal pain (35.3%), chest pain (14.0%) and trauma mainly traffic accidents (5.8%). Procedural POCUS was most commonly used for vascular access (71.7%), where dyspnoea (21.6%) was the most common presenting complaint. The majority of the cases were performed by FACEMs (Fellows of Australasian College of Emergency Medicine) (66.4%).

Conclusions
Despite known diagnostic and procedural values, the prevalence of POCUS in ED was found to be lower than what was expected. The prevalence was shown to be proportional to the level of clinical expertise among the operators. Training and utility of POCUS among physicians and trainees should be further advocated and supported.

Original languageEnglish
Number of pages6
JournalAustralasian Journal of Ultrasound in Medicine
DOIs
Publication statusAccepted/In press - 27 Jun 2019

Cite this

@article{30089180c82f417798b2f624695bcb55,
title = "Prevalence and utility of point‐of‐care ultrasound in the emergency department: A prospective observational study",
abstract = "ObjectiveAn observational study on the current diagnostic and procedural utility, as well as impact of point‐of‐care ultrasound (POCUS) in the emergency department (ED).BackgroundPoint‐of‐care ultrasound (POCUS) has been recognised as a useful non‐invasive bedside tool in providing valuable information, as well as its utility in procedural guidance for clinicians. However, its current prevalence and utility in ED remain unknown.MethodsIn October 2016, a 31‐day prospective observational study was performed in three Monash Health Emergency Departments in Melbourne, Australia. Data regarding patients’ presenting complaints, frequency, operators’ qualifications and POCUS module were collected and analysed. Factors associated with diagnostic impacts were identified.ResultsA total of 390 (2.1{\%}) POCUS examinations were performed among 18,355 presentations in the three Monash Health EDs during the study period. POCUS was performed as a diagnostic tool in 344 (88.2{\%}) and procedural guidance in 46 (11.8{\%}) cases. eFAST/AAA and bedside echocardiography were the two most frequently utilised diagnostic modules. Overall, the majority of diagnostic POCUS cases were indicated for abdominal pain (35.3{\%}), chest pain (14.0{\%}) and trauma mainly traffic accidents (5.8{\%}). Procedural POCUS was most commonly used for vascular access (71.7{\%}), where dyspnoea (21.6{\%}) was the most common presenting complaint. The majority of the cases were performed by FACEMs (Fellows of Australasian College of Emergency Medicine) (66.4{\%}).ConclusionsDespite known diagnostic and procedural values, the prevalence of POCUS in ED was found to be lower than what was expected. The prevalence was shown to be proportional to the level of clinical expertise among the operators. Training and utility of POCUS among physicians and trainees should be further advocated and supported.",
author = "Pourya Pouryahya and Meyer, {Alastair D. McR} and Melody Koo",
year = "2019",
month = "6",
day = "27",
doi = "10.1002/ajum.12172",
language = "English",
journal = "Australasian Journal of Ultrasound in Medicine",
issn = "1836-6864",
publisher = "Wiley-Blackwell",

}

TY - JOUR

T1 - Prevalence and utility of point‐of‐care ultrasound in the emergency department

T2 - A prospective observational study

AU - Pouryahya, Pourya

AU - Meyer, Alastair D. McR

AU - Koo, Melody

PY - 2019/6/27

Y1 - 2019/6/27

N2 - ObjectiveAn observational study on the current diagnostic and procedural utility, as well as impact of point‐of‐care ultrasound (POCUS) in the emergency department (ED).BackgroundPoint‐of‐care ultrasound (POCUS) has been recognised as a useful non‐invasive bedside tool in providing valuable information, as well as its utility in procedural guidance for clinicians. However, its current prevalence and utility in ED remain unknown.MethodsIn October 2016, a 31‐day prospective observational study was performed in three Monash Health Emergency Departments in Melbourne, Australia. Data regarding patients’ presenting complaints, frequency, operators’ qualifications and POCUS module were collected and analysed. Factors associated with diagnostic impacts were identified.ResultsA total of 390 (2.1%) POCUS examinations were performed among 18,355 presentations in the three Monash Health EDs during the study period. POCUS was performed as a diagnostic tool in 344 (88.2%) and procedural guidance in 46 (11.8%) cases. eFAST/AAA and bedside echocardiography were the two most frequently utilised diagnostic modules. Overall, the majority of diagnostic POCUS cases were indicated for abdominal pain (35.3%), chest pain (14.0%) and trauma mainly traffic accidents (5.8%). Procedural POCUS was most commonly used for vascular access (71.7%), where dyspnoea (21.6%) was the most common presenting complaint. The majority of the cases were performed by FACEMs (Fellows of Australasian College of Emergency Medicine) (66.4%).ConclusionsDespite known diagnostic and procedural values, the prevalence of POCUS in ED was found to be lower than what was expected. The prevalence was shown to be proportional to the level of clinical expertise among the operators. Training and utility of POCUS among physicians and trainees should be further advocated and supported.

AB - ObjectiveAn observational study on the current diagnostic and procedural utility, as well as impact of point‐of‐care ultrasound (POCUS) in the emergency department (ED).BackgroundPoint‐of‐care ultrasound (POCUS) has been recognised as a useful non‐invasive bedside tool in providing valuable information, as well as its utility in procedural guidance for clinicians. However, its current prevalence and utility in ED remain unknown.MethodsIn October 2016, a 31‐day prospective observational study was performed in three Monash Health Emergency Departments in Melbourne, Australia. Data regarding patients’ presenting complaints, frequency, operators’ qualifications and POCUS module were collected and analysed. Factors associated with diagnostic impacts were identified.ResultsA total of 390 (2.1%) POCUS examinations were performed among 18,355 presentations in the three Monash Health EDs during the study period. POCUS was performed as a diagnostic tool in 344 (88.2%) and procedural guidance in 46 (11.8%) cases. eFAST/AAA and bedside echocardiography were the two most frequently utilised diagnostic modules. Overall, the majority of diagnostic POCUS cases were indicated for abdominal pain (35.3%), chest pain (14.0%) and trauma mainly traffic accidents (5.8%). Procedural POCUS was most commonly used for vascular access (71.7%), where dyspnoea (21.6%) was the most common presenting complaint. The majority of the cases were performed by FACEMs (Fellows of Australasian College of Emergency Medicine) (66.4%).ConclusionsDespite known diagnostic and procedural values, the prevalence of POCUS in ED was found to be lower than what was expected. The prevalence was shown to be proportional to the level of clinical expertise among the operators. Training and utility of POCUS among physicians and trainees should be further advocated and supported.

U2 - 10.1002/ajum.12172

DO - 10.1002/ajum.12172

M3 - Article

JO - Australasian Journal of Ultrasound in Medicine

JF - Australasian Journal of Ultrasound in Medicine

SN - 1836-6864

ER -